At the age of 12-14, when a girl is slowly becoming a teenager, the body goes through several physical and mental changes. One such change that happens is the onset of ‘menses’ or the beginning of menstruation. Usually, menstruation occurs in 3-7 days, and the amount of bleeding is 30 to 80 ml. But this menstrual period can have different deviations from ordinary when it occurs irregularly or several times in a month, and the anemia is very high. If there is heavy bleeding and there seems to be no apparent reason, this condition is called dysfunctional or abnormal uterine bleeding (AUB).
There are several factors both external and internal involved in the regular occurrence of menstruation. External factors include body weight, nutritional status, and weather. The endocrine glands secrete various hormones, such as the ovaries, adrenal glands, and thyroid glands. Abnormal uterine bleeding is divided into three types.
Menorrhagia During Puberty
This can continue after 3 to 6 months of heavy bleeding, which puts tremendous pressure on girls and their parents. Sometimes excessive or persistent anemia leads to failure of educational institutions and workplaces or anemia failure, which leads to frequent blood transfusions. Most of their body structure is thin or very thick, with a body mass index (BMI).
Reproductive Age
These women have a small amount of bleeding every 10-12 days (polymenorrhea or polymenorrhea) or during the month.
Premenopausal Menorrhagia
Premenopausal women aged 45 to 50 are more likely to bleed.
There is usually a complex balance system between the blood supply and the elimination of bleeding in the uterus. Type 2 prostaglandins work together to maintain hemostasis because thromboxane causes blood vessels to contract and platelets to aggregate and vice versa. There is an imbalance between these two types of prostaglandins, which can occur during grief, anxiety, the stress of any kind, sexual instability of the partner, or abnormal discharge from the adrenal or thyroid gland abnormal uterine bleeding can occur.
Evaluate the AUB case to rule out known reasons for the relevant date, proper inspection, and relevant investigation. Essential tests may include CBC (a complete blood count), thyroid function test, and ultrasound to rule out a uterine or ovarian tumor and determine the thickness of the lining of the uterus (endometrium).
Treatment of AUB depends on many factors. Age-appropriate counseling is essential for the elimination of anxiety, stress, mood swings, and sexual dissatisfaction. Those who are overweight need to lose weight. Underweight women will need a balanced diet. Anemia People need anemia correction.
Some over-the-counter medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) or anti-fibrinolytic, may be helpful. The combination of oral contraceptives prescribed by the FCP Medical doctor can provide relief to the patient. Hysteroscopy for both diagnosis and treatment. The procedure is carried out. When a patient with multiple medications cannot eliminate the symptoms, she may need surgical intervention.
Abnormal uterine bleeding is common and is rarely a cause for concern. If a person is experiencing symptoms other than irregular bleeding, they should seek medical help as soon as possible.